The Best Home Care Agencies for Seniors in Alexander City, AL for 2025
Caring.com offers a free service to help families find senior care and authentic reviews to help you in your decision. On average in Alexander City, AL, residents and their loved ones rate In Home Care agencies across the options below.
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On this page:
- Home Care Services in Alexander City, Alabama
- Paying for Home Care in Alexander City, AL
- Financial Assistance for Home Care in Alexander City, AL
- Free & Low-Cost Home Care Resources in Alexander City, AL
- Determining Your Loved One’s Need for In-Home Care
- Guidelines for Talking About In-Home Care
- Frequently Asked Questions
Paying for Home Care in Alexander City, AL
The Cost of Home Care in Alexander City, AL
According to the 2020 Genworth Cost of Care Survey, Alexander City seniors pay approximately $3,432 per month for home care, which is the same as the state median but $1,049 less than the national median. Montgomery rates average $3,238 per month, which is less than Alexander City. The Birmingham area averages $3,718, which is one of the highest rates in the region. Home care in Tuscaloosa costs about $3,552, while in the Anniston area, it averages $3,356 per month.
Alexander City
$3,432
Alabama
$3,432
United States
$4,481
Montgomery
$3,238
Birmingham Area
$3,718
Tuscaloosa
$3,552
Anniston Area
$3,356
The Cost of Home Care vs. Other Senior Care Options in Alexander City, AL
Depending on their needs and preferences, Alexander City seniors have numerous care options to choose from. Home care, which is for nonmedical care, and home health care, which includes medical care, cost the same average price at $3,432 per month. Adult day health care is not available in Alexander City. Assisted living facilities provide comparable services to home care and costs less per month at $3,323. Nursing home care costs more at $5,399 for semiprivate accommodations.
Home Care
$3,432
Home Health Care
$3,432
Assisted Living
$3,323
Nursing Home Care (semiprivate room)
$5,399
Note: Data for Alexander City was unavailable, so data for the nearest city, Auburn Area, was used instead.
Financial Assistance for Home Care in Alexander City, AL
Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.
- Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
- Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
- Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
- Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
- Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.
Free & Low-Cost Home Care Resources in Alexander City, AL
Numerous free and low-cost programs designed to help Alexander City seniors age in place are available. The resources listed below provide help with utility bills, meals, transportation, legal services, health and well-being.
Resource | Contact | Service |
---|---|---|
Low-Income Home Energy Assistance Program (LIHEAP) | (334) 242-4909 | Federally funded through the U.S. Department of Health and Human Services, LIHEAP assists low-income households with their heating bills. To be eligible for this program, applicants must reside in Alabama and meet certain income requirements. If a person or family member receives SNAP, SSI or TANF, they are automatically eligible. |
Senior Nutrition Program | (256) 234-4074 | The Nutrition Center serves nutritious meals for lunch at the center and also delivers lunch meals to home-bound seniors aged 60 and older. Other services include transportation, exercise programs, games, activities, socialization, bingo and trips. Supportive services provided daily include public and nutrition education, outreach, visitation, calling, information and referrals. |
Area Agency on Aging and Disability (AAA) | (800) 243-5463 | The AAA operates under the direction of the East Alabama Regional Planning and Development Commission and is supervised by the U.S. Administration on Aging. The agency provides older Alabamians with information and resources for free and low-cost services to help them maintain their independence while aging in place. The AAA can connect seniors with health and wellness programs, benefits counseling, home and community-based service programs, legal services, Alabama's Long-Term Care Ombudsman, senior center services, SenioRx and the State Health Insurance Assistance Program (SHIP). |
Montgomery Area Council on Aging (MACOA) | (256) 329-8329 | The MACOA provides services that enable older adults to live independently, offering them opportunities to improve their quality of life. Programs and services include Meals on Wheels, Birthday Cake Program, Pet Food Program, Frozen Meals Program, volunteer opportunities, senior activity centers, community events, MACOA publications and newsletters and elder abuse prevention. |
Determining Your Loved One’s Need for In-Home Care
Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.


Guidelines for Talking About In-Home Care
If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

